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Hiv Case Study

Tina Said:

complete the CMS-1500 form, located in Appendix C, according to the following case study:?

We Answered:

Do you have a copy of this form in your Appendix C that we don't have?

Dwayne Said:

I am doing a case study for school. I am hoping someone can help me out, please. :(?

We Answered:

Yes. The incubation cycles could have been missed during testing. Sometimes it can take up to 6 months to see a positive test. All of the symptoms and levels point to HIV, especially Pneumocystis carinii. The patient could have had another problem, however, like low IgG levels but that doesn't just happen spontaneously and is usually seen in infancy.

Andrea Said:


We Answered:

-The 15 year old probably has Rocky Mountain Spotted Fever (Rickettsia rickettsii). This is spread by the bite of a dog tick, and the patient's antibodies against Rickettsia will cross react with Proteus vulgaris (Weill-Felix reaction).

-The HIV patient probably has thrush (Candida albicans). Most commonly seen in children and immunocompromised patients (such as HIV+ patients).

Katrina Said:

Pharmacy Case Study?

We Answered:

Mycobutin is the preferred rifampin because it doesn't have the P450 effect as regular rifampin. Clarithromycin is not a preferred drug for TB. Fluroquinolones are used more, they are the preferred second line medication. Also, where is the isoniazid or pyrazinamide? Look up the WHO recommended TB treatment.

Harvey Said:

How do we change complacency regarding HIV?

We Answered:

I think that often times, we, as African-Americans have an invincibility complex. We doubt that things that have the ability to affect any other person in the world will not be able to touch us. Where this attitude came from, I don't know. I think your question is the question that needs to be answered in order to eradicate or at least decrease HIV cases. It seems that the more we know, the less we care. Now, I do believe that the climbing rates are in part due to the increase in testing and reporting, but that cannot and does not alone account for the rapidly increasing rates in the black community and especially the black female community. Another issue is the "down-low" black male community which also contributes a great deal to this rise in HIV rates in black females. I subscribe to the belief that the only person whose behavior I can control is my own. Therefore as a black female, no matter what a man says, before I become sexually active with a man, I would insist on testing together and being there for the results. I would insist on a second testing 1-2 months later because I don't know how long it has been since he has been sexually active with someone else. I would not stop there. Even if I have no reason to suspect infidelity, I would insist on being tested every year with regular doctor check-ups. Not only does it get the testing thing done, but it also normalizes it. I believe that HIV screening/testing should be done as a part of routine blood tests at the annual check-up for everyone. Anyway, that's my soapbox. I'm a nurse involved in HIV/AIDS research, so I'm a little passionate about the subject.

Jay Said:

A little help in a case study for my biology class please?

We Answered:

Papilledema is not a primary neural inflammation but a sign of elevated intracranial pressure and is almost always bilateral. Causes include - Brain tumour or abscess. Cerebral trauma or haemorrhage. Meningitis (cryptococcal meningitis, meningococcal meningitis, streptococcus pneumonia meningitis, tuberculous meningitis). Arachnoidal adhesions. Cavernous or dural sinus thrombosis. Encephalitis. Idiopathic intracranial hypertension (pseudotumor cerebri), a condition with elevated CSF pressure and no mass lesion. Another consideration must be that an HIV infection may involve the anterior or posterior segment of the eye. Because if this, I would strongly consider Cryptococcus neoformans which is the leading cause of meningitis in patients with Acquired Immune Deficiency Syndrome (AlDS) and is associated with a high mortality rate. Presenting symptoms include fever, nausea and vomiting, altered mentation, headache and meningismus. Cryptococcal meningitis is frequently complicated by raised intracranial pressure and visual sequelae (sometimes by blindness). In patients who survive the infection, the most debilitating outcome appears to be visual impairment or blindness. Management of impending visual complication combines medical and surgical treatment modalities. Cryptococcus neoformans is an ubiquitous yeast-like fungus with a polysaccharide capsule, which causes a serious infection and in this case, would be the cause of the oral thrush. So I would say that you were completely on track but only failed to consider the causative agent of the type of meningitis and it’s involvement in AIDS.


It is extremely important to obtain an accurate diagnosis before trying to find a cure. Many diseases and conditions share common symptoms.

The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.

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